Weatherwax, John Joseph

Weatherwax, John Joseph is an individual health care provider with primary practice located at 310 W Losey St , Scott Afb IL 62225-5250. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Weatherwax, John Joseph can be contacted via phone (618) 256-7525.

Contact Information

Primary practice address
310 W Losey St Scott Afb IL 62225-5250
Phone: (618) 256-7525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0017141525 Virginia
Nursing Service Providers / Registered Nurse 163W00000X ARNP 2749302 Florida
Nursing Service Providers / Registered Nurse 163W00000X 0024171604 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP2749302 Florida

Profile Details

NPI number 1245224567
LBN Legal business name Weatherwax, John Joseph
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Apr 16th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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